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The Upstream Doctors: Medical Innovators Track Sickness to Its Source (Kindle Single) (TED Books) Kindle Edition

4.6 out of 5 stars 39 customer reviews

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Length: 112 pages Word Wise: Enabled
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Editorial Reviews

Review

"Rishi Manchanda’s TED Book about upstreamists breaks a lot of new ground. His is a novel and compelling vision that moves prevention front and center in medical care by moving the doctor upstream — upstream to where the problems begin and where a little insight and foresight can convert an oncoming medical disaster into a preventable problem."
— Fitzhugh Mullan, MD , Murdock Head Professor of Medicine and Health Policy, George Washington University School of Public Health, and Clinical Professor of Pediatrics at the George Washington University School of Medicine

"This book is fabulous. As an upstreamist, Dr. Manchanda knows that without addressing the social ills that are the source (the upstream causes) of the patients' medical problems, those problems will never be adequately solved. In his book, and in his work, Dr. Manchanda presents an uplifting and necessary journey for any of us who think narrowly as downstreamists."
— Thomas S. Bodenheimer, MD, MPH professor, Department of Family and Community Medicine, and director, Center for Excellence in Primary Care, University of California at San Francisco

Product Details

  • File Size: 14061 KB
  • Print Length: 112 pages
  • Publisher: TED Conferences; 38 edition (June 6, 2013)
  • Publication Date: June 6, 2013
  • Sold by: Amazon Digital Services LLC
  • Language: English
  • ASIN: B00D5WNXPE
  • Text-to-Speech: Enabled
  • X-Ray:
  • Word Wise: Enabled
  • Lending: Enabled
  • Enhanced Typesetting: Not Enabled
  • Amazon Best Sellers Rank: #150,018 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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Customer Reviews

Top Customer Reviews

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Seeing another way to look at health and health care changed everything for me. I'm trying to understand the true root of any issues instead of just medicating the symptoms away.

This is well written and easy to read and understand.

Well worth your time!
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I highly recommend anyone read this book-- but it should be required reading for anyone interested in improving health in the United States, and beyond. Manchanda has an excellent grasp on the material, real-world experience on the subject, and an engaging writing style.
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As a physician working with HIV and Tuberculosis patients in Papua New Guinea, I find the concept of directing medical care upstream not just compelling but essential. Manchanda has the experience to speak to this approach.
The first few chapters present raw data for discussing the challenges of improving health under a new paradigm. However, his terms "upstream" and "upstreamists" get tiring later on. His emphasis is on the social determinants of health, and he argues that "upstreamists" focus on changing these determinants with other social or government agencies. To me, this represents the natural transition of Public Health as a discipline in a place where infectious diseases and their causes are mostly controlled. But Manchanda focuses heavily on social ills leading to poor health and away from individual responsibility, behavior change strategies or reducing the financial incentives for overly-procedural care and reveals a political bias along the way.
The book overall reads easily until the focus shifts from describing the need for considering social determinants of health to advocating for community organizers and for his own "upstream" brand. The afterward may be more insightful than the second half of the book.
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I am a veterinarian and have preached and practice "upstream medicine" much to the delight of my clients and health of my patients. This TED book is a call to arms for practitioners and patients. A good read.
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The Upstream Doctors is a rare achievement. In just a short volume, Dr. Manchanda argues articulately why doctors should think about the social determinants of health outside of their clinic walls. He provides concrete and achievable strategies, both small and large, that can help anyone improve the health and welfare of our population.

This book should be required reading for anyone interested in health and healthcare, from high school students thinking about medicine, premeds wading through organic chemistry, medical students studying for boards, residents who should be "napping" on call and attending physicians, both young and old. If you are not too jaded to learn something, read this book. Then read it again. Then do something!
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I liked the compassion and views offered in this book. Having had an education in public health, medicine and business administration, this was a good resource book showing that there are others willing and hoping for a better health care model than those that are currently being followed. I'd suggest this book for those looking for inspiration in providing more holistic care to patients and their communities.
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Excellent and thought provoking; recognizes the major non-alignment of payment for health care services under the traditional fee for service system, and proposes new approaches to thinking about how medical care is delivered and reimbursed in the United States.
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Very intelligent critique of the current problems we have in the medical community. The author does a great job of showing the problems and providing potential solutions to these problems. I would recommend every medical student to read this.
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